Individual
EBONNI R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
10857 SHARONDALE RD APT A201, CINCINNATI, OH 45241-2880
(513) 206-2784
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
181880
OH
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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